Spontaneous passage of a dacryolith.

Abstract

A patient had four episodes of recurrent dacryolith over 14 years. Each attack of acutely painful dacryocystitis was terminated by spontaneous passage ofthe dacryolith. Biochemical and dacryocystographic evidence help to explain the pathogenesis of the condition.

Calcification associated with the nasolacrimal system of a horse: case report and mineralogic composition

“…In humans, the mechanisms leading to the formation of a dacryolith remain unknown, although dacryoliths have been related to infectious dacryocystitis, 1 intraluminal foreign body, 1 eyelash nidus, 11,12 and stasis of secretions. 4,[12][13][14][15] In this case, differential considerations for the unattached, calcific mass eroding through the lateral nasal wall and involving the nasolacrimal apparatus included internal, excessive growth of dacryolithiasis 3 ; external, metaplasia of inflammatory secretions secondary to sinusitis, 16 rhinitis, 16 or periapical tooth root abcessation 17 ; or neoplasia. 18 Foreign body 11,12,19 or previous surgery 20 resulting in calcifying, chronic inflammatory accumulations were considered unlikely.…”

“…2,[12][13][14]23 A higher incidence of calcium phosphate calculi can be found among these reports. 2,13,14 In studies that evaluate the role of the environment, neither tear electrolytes nor pH changes have been correlated with dacryolith formation. 2,23,24 Future recognition and analysis of equine dacryoliths will aid in understanding their incidence and composition.…”

A Huge Dacryolith Presenting as a Mass of the Inferior Meatus

“…Diagnosis of a dacryolith is usually made incidentally, either when a cast is found in the lacrimal sac during DCR or when the dacryolith passes spontaneously into the nasal cavity. 7,8) However, clinical suspicion of a dacryolith should arise when symptoms are recurrent or chronic. Conventional dacryocystography may detect a dacryolith, seen as a filling defect in the lacrimal sac.…”

Formation of concrements in the lacrimal excretory system

“…[5] конкремент был удален из слезного мешка транскутанным способом у пациентов с острым дакриоциститом, после чего дополнительного реконструктивного вмешательства на слезоотводящих путях не потребовалось. В другом клиническом случае конкремент самостоятельно смещался в носоглотку при повторных дакриоциститах, вслед-ствие чего проходимость слезоотводящих путей восстанавливалась [6]. A. Salam и соавторы также описали случай, когда проходимость слезоотводящих путей была восстановлена после удаления конкремента через естественные пути [7].…”